Your Details Let's Get Started "*" indicates required fields Name*Gender*Date of birth* Day Month Year Current address or homelessness situation*Mobile number*Are you able to make & receive calls? (credit / power availability)*Is it safe to call or text this number?*Email address* Do you identify as Aboriginal or Torres Strait Islander?*Please selectYesNoPrefer not to answerDo you have cultural or language requests we should know about?Do you have children/dependents in your care?*Please selectYesNoPlease list the names and ages of those in your care*NameAge Add RemovePartner namePartner date of birth Day Month Year Do you have safety concerns?If yes, are you currently facing domestic, family or community violence?Are there any AVOs or court orders in place, including any for your children?How can we best support immediate safety concerns?Other services being accessedDo you have a current Housing NSW application?*Please selectYesNoWhat is your main source of income?*Next pay date Day Month Year Do you currently use Drugs and/or Alcohol?*Please selectNeitherDrugsAlcoholBothDo you have a history of Drug and/or Alcohol issues?*Please selectNeitherDrugsAlcoholBothHow did you hear about us?*Please select oneFriend or family memberOther serviceWebsite or social mediaAlready knew about youI agree not to enter UHHS premises under the influence of drugs or alcohol.* I agreeI declare the above details are correct and I agree to update UHHS should any information change.* I agreeThis site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Here to provide support when you need it. Upper Hunter Homeless Support provides case management under the "Going Home Staying Home Program" which supports people who are at risk of homelessness or who are homeless Make a Donation Provide Feedback Make a Referral